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Gout Arthritis is a disease characterized by pain that occurs repeatedly caused by deposits of monosodium urate crystals that accumulate in the joints as a result of high levels of uric acid in the blood. One of the complementary therapeutic measures is a warm red ginger compress in gout arthritis patients. The purpose of this research is to determine the Effect of Giving Warm Red Ginger Compresses to Pain in Gout Arthritis Patients in Mahawu Village, Manado. The design of this study used a pre- experimental (one-group, pre-post test design). The sample in this study was 35 respondents taken using a total sampling instrument. The study used observation sheets and SOPs for measurement using the NRS (Numeric Rating Scale). The data were then analyzed using the Wilcoxon statistical test with a significance level of = 0.05. The results of this study indicate that there is an effect of giving red ginger warm compresses to pain in gout arthritis patients with p value = 0.000 <0.05 so Ha is accepted and Ho is rejected. So it can be concluded that there is an effect of giving red ginger warm compresses to reducing pain in gout arthritis patients in Mahawu Village, Manado. The conclusion of the study is that there is an effect of warm red ginger compresses on Gout Arthritis patients in Mahawu Village, Manad.

Hypertension is a condition where systolic blood pressure is more than 120 mmHg and diastolic pressure is more than 80 mmHg which can be measured in millimeters of mercury (mmHg). In addition to pharmacological therapy, hypertension management can also use non-pharmacological therapies, one of which is foot soak therapy in warm water. The purpose of this research is to determine effect of warm water foot soak therapy on blood pressure in patients with hypertension at Bailang Health Center Manado City. This study uses a pre-experimental method with a one-group pretest-posttest design without a comparison group. The population with the result that 165 people patients diagnosed with hypertension. The sampling process used a probability sampling technique  with the result that 15 respondents. Data collection was observations. The data were analyzed using the Wilcoxon test with a significance value (?) of 0.05. From the results of the study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension at Bailang Health Center Manado City with a value of p = 0.008. This p value is smaller than the value of a = 0.05. The conclusion of this study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension. This p value is smaller than the value of a = 0.05. It is hoped that the respondents will be able to take advantage of warm water foot soak therapy as an alternative in lowering blood pressure and this can also be done regularly.

Stunting adalah salah satu tanda kekurangan gizi kronis dan tidak mencukupinya serapan nutrisi anak yang tertinggi secara global. Stunting dapat menyebabkan penurunan perkembangan kognitif anak sebesar 7% dibandingkan dengan anak yang tidak mengalami stunting. Penyuluhan kesehatan adalah salah satu strategi dalam meningkatkan pengetahuan ibu tentang pencegahan stunting dengan menggunakan media digital. Penelitian ini bertujuan menganalisis efektivitas penyuluhan kesehatan melalui media digital terhadap pengetahuan ibu tentang pencegahan stunting. Jenis penelitian ini adalah penelitian kuantitatif dengan metode quasi experiment dan menggunakan desain penelitian berupa pre and post test without control. Populasi penelitian ini adalah semua ibu yang memiliki balita di Desa Kisam Kute Rambe yang berjumlah 144 ibu. Teknik pengambilan sampel yaitu total sampling, sesuai dengan kriteria inklusi yang ditetapkan peneliti. Analisis data secara bivariat menggunakan uji wilcoxon. Hasil penelitian didapatkan bahwa ada perbedaan yang signifikan antara pengetahuan ibu tentang pencegahan stunting sebelum dan sesudah intervensi penyuluhan kesehatan melalui media digital, dengan p = 0,005. Oleh karena itu, diharapkan kepada tenaga kesehatan menerapkan inovasi teknologi dengan menyediakan berbagai materi penyuluhan kesehatan bersumber dari media digital tentang pertumbuhan dan perkembangan anak serta stunting.

One of the causes of MMR and AKB in Indonesia mostly occurs due to hypertension (25%). Prevention of preeclampsia is by screening pre-eclampsia in pregnant women at >20 weeks gestation. The role of cadres is very important in helping midwives to detect high-risk pregnant women. The purpose of the study was to determine the effectiveness of health education on the use of pre-eclampsia screening on cadre skills in detecting high-risk pregnant women in posyandu working areas of Tanta Health Center. This research method includes experimental research using pre-experimental designs type Pretes-Posttest Design. The population is posyandu cadres for pregnant women and toddlers in the Tanta Health Center work area as many as 80 people with sampling techniques with Quota Sampling as many as 40 respondents. The data analysis technique uses the Wilcoxon signed Rank test. The results showed that there was a difference between cadres' skills in detecting high-risk pregnant women before and after health education about the use of pre-eclampsia screening.

Bencana bisa kapan saja terjadi tanpa diduga hal ini menjadikan masyarakat selalu berupaya berprilaku tanggap bencana. Tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan menggunakan audio visual terhadap pengetahuan dan sikap siswa dalam siaga banjir. Jenis penelitian pre eksperimen design dengan one-group pretest-posttest design. Jumlah populasi 209 siswa, sampel 42 orang siswa, tehnik pengambilan sampel purposive sampling. Hasil penelitian sebelum diberikan pendidikan kesehatan mayoritas siswa berpengetahuan kurang sebanyak 36 orang dan bersikap positif sebanyak 41 orang, setelah diberikan pendidikan kesehatan mayoritas siswa berpengetahuan baik sebanyak 39 orang dan bersikap positif sebanyak 42 orang, hasil analisis uji wilcoxon untuk pengetahuan nilai ρvalue sebesar 0,000 dan uji paired sample t test untuk sikap ρvalue sebesar 0,000. Sehingga disimpulkan terdapat pengaruh pendidikan kesehatan menggunakan audio visual terhadap pengetahuan dan sikap siswa dalam siaga banjir. Saran diharapkan kepada siswa agar tetap siaga terhadap banjir terutama pada musim penghujan hal ini untuk mengurangi dampak banjir di masyarakat baik dari segi ekonomi maupun kesehatan.  

Hipertensi merupakan salah satu masalah kesehatan yang cukup berbahaya di dunia karena hipertensi merupakan faktor risiko utama yang mengarah pada penyakit kardiovaskuler seperti serangan jantung, gagal jantung, stroke dan penyakit ginjal. Penelitian ini bertujuan untuk diketahui pengaruh senam yoga terhadap penurunan tekanan darah pada usia lansia awal. Metode penelitian ini menggunakan pre eksperimen dengan one group pre test post test design. Sampel dalam penelitian ini berjumlah 28 orang dengan menggunakan teknik pengambilan sampel purposive sampling. Hasil penelitian menunjukan bahwa berdasarkan pada Uji Wilcoxon didapatkan hasil p-value = 0,000 (p<0,05,  hasil ini menujukkan bahwa Ho ditolak dan Ha diterima. Pemberian senam yoga terhadap penderita hipertensi di usia lansia awal memiliki dampak besar terhadap penurunan tekanan darah karena senam yoga sendiri mengaktifkan hormone endorphin yang mampu mempengaruhi kinerja jantung sehingga tekanan darah menjadi stabil. Senam yoga dapat memberikan pengaruh terhadap penurunan tekanan darah sehingga lansia perlu melakukan senam yoga secara rutin untuk dapat menurunkan tekanan darah serta menjaga kebiasaan yang dapat memicu terjadinya peningkatan tekanan darah.  

Background : The age of infants and toddlers is the golden age of the period of growth and development of a human being. To stimulate the growth and development of the baby, it is necessary to stimulate the baby. Baby massage and spa are activities to optimize the growth and development of babies. Research objective : to determine the effect of baby massage and baby spa on the growth and motoric development of babies aged 3 to 6 months. Research Methods : This study used a quasi-experimental and pretest and post-test design with a control group. The number of samples of infants aged 3-6 months was 60 babies, 20 babies for the baby massage group, 20 babies for the baby spa group (solus per aqua) and 20 babies who were not treated because their parents refused. The instruments used in this study were baby scales, tape measure and DDST II. Data analysis in this study was the Wilcoxon and Mann Whitney tests. The results of the study: There is an influence of baby massage and baby spa interventions on the growth and motor development of infants aged 3-6 months with p-Value = 0.000 (<0.05). The Mann Whitney test results obtained a p-value of 0.000 (p-value <0.05 at α = 5%), so that it can be concluded that there are differences in the growth and motor development of infants aged 3 to 6 months between the control group and the intervention group (who get baby massage and baby spa). Conclusions and suggestions : It is hoped that baby massage and baby spa can optimize baby growth and development. There is a difference in the effect of giving baby massage and baby spa on the growth and motoric development of infants aged 3-6 months. So that giving actions like this can be routinely carried out to maximize the growth and development of the baby.

Backgrounds : The puerperium is the period after childbirth, which is counted from after the placenta has come out, the puerperium is also called the recovery period, where the uterine devices will recover as before. Providing information about breast massage techniques to the public, especially to postpartum mothers is very important. Therefore efforts to provide information about breast massage techniques can be done through health promotion efforts. The results of a preliminary study conducted by researchers at the Gempol Health Center on 5 postpartum mothers using a questionnaire, of the 5 questions asked, 5 postpartum mothers answered that they did not know how to increase milk with breast massage techniques. Research Objectives : To find out the effectiveness of video media and leaflets on knowledge about breast massage techniques for postpartum women at the Gempol Health Center in 2022 Research Methods:This type of research is quantitative with a quasi-experimental research design and a pretest-posttest group design. The pop ulation in this study was 117 postpartum mothers who were at the Gempol Health Center. The sample in this study were 54 respondents. Bivariate analysis using the Wilcoxon test. Research results : The description of postpartum mothers' knowledge about breast massage techniques after being given leaflet media was mostly lacking as many as 32 people (59.3%). Postpartum mothers' knowledge about breast massage techniques after being given video media was mostly as good as many as 44 people (81.5%). Conclusions and Suggestions : It can be concluded that video media is more effective for increasing knowledge about breast massage techniques in postpartum mothers than media leaflets. It is recommended that managing midwives facilitate mothers in receiving health counseling/education especially for postpartum mothers regarding breast massage techniques during the postpartum period.

This study aims to determine the effect of foot massage and soaking in warm water mixed with salt on reducing leg edema in third-trimester pregnant women. This type of research is Experimental design with the group Pre-Test and Post-test design approach model. The population in this study were all third-trimester pregnant women who experienced physiological leg edema at the Bangetayu Health Center, Genuk sub-district, Semarang City, totaling 32 people from June to July 2022. The sampling technique used a total sampling of 32 people. The data collection tools in this study were Standard Operating Procedures (SOP) for Foot Massage and Warm Water Soak mixed with salt, Observation Sheets, Questionnaires, and Metlin in Millimeter units. The results of the study obtained a Z value of 5.045 which means that every one time intervention of foot massage and soaking in warm water mixed with salt, which is given one time a day for five days, third-trimester pregnant women have the potential to be 5.045 times to be able to reduce the degree of edema. The Wilcoxon test results obtained a significance of ≤ 0.05, and it was found that there was an effect of foot massage and soaking in warm water mixed with salt on the reduction of leg edema in third-trimester pregnant women at the Bangetayu Health Center, Genuk District, Semarang City.   Keywords: Foot edema, Foot massage, Soak using warm water mixed with salt

Based on data from the Jepara District Health Office in 2021, the Tahunan area has the highest number of pregnancies, reaching 1204 pregnancies compared to other sub-districts in Jepara Regency, with 43.1% of them experiencing sleep disturbances. This study aims to determine the effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency. This type of research is a quasi-experimental one-group pretest-posttest design. The population taken in this study were 50 pregnant women in their third trimester in July – August 2022 in the working area of the Annual Health Center in Jepara Regency. The sampling technique was purposive, and a sample of 44 people was obtained. The data collection tool in this study used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was performed using the Wilcoxon test. The results showed an effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency (p-value <0.05). The average PSQI score before a back massage with lavender essential oil was 8.95 and then decreased to 3.70 after giving a back massage with lavender essential oil. A decrease in PSQI scores indicates an improvement in sleep quality. Based on the Z value obtained, it was 5.811, which means that every one time back massage intervention with lavender essential oil given two times a week in the third trimester of pregnant women has the potential to improve sleep quality 5.811 times.   Keywords: Back massage, Lavender essential oil, Sleep quality

Preoperative actions can have a psychological impact on patients such as fear and anxiety. To overcome anxiety can be done pharmacologically and non- pharmacologically. One of the non-pharmacological therapies to reduce anxiety is instrumental music therapy. The purpose of this study was to determine the effect of instrumental music on anxiety in preoperative patients in the Lukas Inpatient Room, Santo Vincentius Hospital Singkawang. The method used is a quasi-experimental design with Pre And Post Test Without Control. Sampling was carried out using the Probability Sampling technique with the Simple random sampling technique with a total sample of 31 people. The method of data collection was using the APAIS questionnaire sheet and MP3 instrumental music. Data analysis used was univariate and bivariate analysis using the Saphiro-Wilk normality test, probability value (sig) <0.05 and non-parametric Wilcoxon test obtained p-value 0.000 <0.05. This study shows that most of the patients before being given instrumental music therapy experienced high anxiety by 51.6%, the level of anxiety after being given instrumental music decreased to moderate anxiety by 38.7%. There is an effect between before being given instrumental music therapy and after being given instrumental music therapy to preoperative patients in the St. The results of the study can be proposed as a suggestion in the management of anxiety at the General Hospital of Santo Vincentius Singkawang by using instrumental music in preoperative patients

Preoperative actions can have a psychological impact on patients such as fear and anxiety. To overcome anxiety can be done pharmacologically and non- pharmacologically. One of the non-pharmacological therapies to reduce anxiety is instrumental music therapy. The purpose of this study was to determine the effect of instrumental music on anxiety in preoperative patients in the Lukas Inpatient Room, Santo Vincentius Hospital Singkawang. The method used is a quasi-experimental design with Pre And Post Test Without Control. Sampling was carried out using the Probability Sampling technique with the Simple random sampling technique with a total sample of 31 people. The method of data collection was using the APAIS questionnaire sheet and MP3 instrumental music. Data analysis used was univariate and bivariate analysis using the Saphiro-Wilk normality test, probability value (sig) <0.05 and non-parametric Wilcoxon test obtained p-value 0.000 <0.05. This study shows that most of the patients before being given instrumental music therapy experienced high anxiety by 51.6%, the level of anxiety after being given instrumental music decreased to moderate anxiety by 38.7%. There is an effect between before being given instrumental music therapy and after being given instrumental music therapy to preoperative patients in the St. The results of the study can be proposed as a suggestion in the management of anxiety at the General Hospital of Santo Vincentius Singkawang by using instrumental music in preoperative patients

Labor is the process of opening and thinning the cervix, where the fetus is pushed out through the birth canal. Finger Grip Relaxation is a muscle relaxation action that is believed to reduced pain. The purpose of this research was to find out the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado.This research was conducted by using a quasi experimental one group pre-test and posttest design. Sampel in this research amounted to 15 respondents using accidental sampling technique. Data collection was done by sharing SOP. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Wilcoxon test with the significance level ? = 0,05.The result showed that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.The conclusion of this research is that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado. It is suggested to update information about the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.

Foot sensitivity is very important for people with Diabetes Mellitus because of the risk causing trauma, because there is a decrease in sensitivity, the feet of people with diabetes mellitus often do not feel stimulation, and wounds often occur so that they can make the wound bigger and smelly or diabetic ulcers occur and make sufferers experience a decrease in self-confidence.The purpose of this research is to know the effects of diabetic foot exercise on foot sensitivity of patients for Diabetes mellitus Type 2 at Talawaan Health Centre. This research is quantitative study through using experimental research. Involving the sample of 15 respondents and  used the sampling technique with total sampling. Collecting and processing using the Wilcoxon test with P Value of 0.001 with value (? = 0.05). The result of this study indicates that Ha is accepted, and Ho is rejected. The conclusion of study that can be drawn is that there is an effect that foot exercise therapy on has patients with Diabetes Mellitus Type 2 in the Talawaan Health Centre.

Penelitian ini bertujuan untuk mengidentifikasi pengaruh program Independent-Reading English Literacy Program (IRELP) untuk meningkatkan kemampuan literasi. Subyek penelitian ini adalah siswa Kelas 5 di SD Dwijendra Denpasar tahun pelajaran 2022/ 2023 sebanyak 30 siswa. Metode pengumpulan data yang digunakan adalah tes liteasi. Data dianalisis secara statistik menggunakan t-test. Hasil penelitian ini menunjukan bahwa Asymp. Sig. (2-tailed) dari Wilcoxon Signed Ranks Test adalah 0,000. Hal ini menunjukan bahwa terdapat perbedaan yang signifikan anatara pretest dan posttest. Walaupun, pengujian produk dan pengimplementasiannya dilaksanakan dalam waktu yang terbatas, hasil pengujian secara statistik menunjukan perbedaan yang signifikan. Oleh karena itu, dapat disimpulkan bahwa IRELP efektif untuk meningkatkan kemampuan literasi siswa Kelas 5 SD Dwijendra Denpasar tahun pelajaran 2022/2023.

Sikap positif tentang penuaan dapat menjadi sumber persepsi diri yang positif tentang  penerimaan diri dengan bertambahnya usia Kasus yang banyak ditemukan adalah ketidakberdayaan lansia dengan prevalensi kejadiannya berkisar 30-45% dari kasus kesehatan jiwa. Banyak lansia berharap saat mencapai tahap akhir perkembangan hidup, lansia hidup tenang, damai dan hidup bersama dengan anak-anak serta cucu dengan bahagia. Tapi pada kenyataan, sebagian besar harapan-harapan lansia tidak terwujud.  Tujuan dari penelitian ini mengidentifikasi Pengaruh Pemberian edukasi  berfikir positif pada lansia dengan masalah psikososial ketidak berdayaan Di UPT Pelayanan Sosial Tresna Werdha (PSTW) Desain penelitian yang digunakan adalah ” Pra experimental pre-post test whit control grup”. Dimana sampel dipilih secara purposive sampling, kemudian untuk kelompok tersebut diberikan perlakuan dan di observasi ulang untuk mengetahui hasilnya. Sampel  penelitian ini adalah semua lansia  yang memiliki data mayor atau memiliki karakteristik yang sesuai dengan criteria inklusi 25 orang lansia. Instrumen penelitian ini SAP dan memodifikasi kuesioner pre dan post. Hasil penelitian selisih dari tingkat pengetahuan sebelum dan sesudah terjadi peningkatan pemahaman dari skor baik dari 6 bertambah menjadi 14, dan yang memiliki nilai cukup dari 9 menurun menjadi 10 lansia, sedangkan skor kurang 10 orang menurun menjadi 2 orang.  Analisa hasil penelitian dengan uji wilcoxon diperoleh nilai p value 0,007 < α (0,05), disimpulkan bahwa ada pengaruh yang signifikan dari edukasi berfikir positif  terhadap peningkatan pengetahuan lansia dengan masalah psikososial ketidakberdayaan. Dari hasil penelitian dapat disimpulkan Pengaturan hidup yang dilakukan oleh Lansia dalam hal meningkatkan kemandirian didalam kehidupan sehari-hari, akan membuat lansia lebih bermakna dan bahagia sehingga Dukungan sosial dari orang terdekat misal keluarga, petugas kesehatan yang merawat diharapkan selalu aktif dan konsiten

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

Kegiatan Pengabdian ini bertujuan untuk mengetahui pengaruh Penyuluhan Kesehatan terhadap Pengetahuan Remaja Tentang Penyakit Menular Seksual. Terdapat proses evaluasi Pre Eksperimen dengan desain One Group Pre Test-Post Test. Pengabdian Masyarakat ini dilakukan pada tanggal 17 – 19 Oktober 2022 lokasi penelitian di Akademi Ilmu Gizi YPAG Makassar. Teknik Pengambilan sampel dengan metode Systematic Random Sampling terdapat 61 responden siswa. Hasil penelitian menunjukkan terdapat peningkatan pengetahuan siswa setelah diberikan Penyuluhan Kesehatan terdapat 60 siswa (98.4%) mempunyai pengetahuan baik, dan terdapat 1 siswa (1.6%) yang mempunyai pengetahuan cukup. Hasil uji Wilcoxon Signed Rank Test setelah diberikan Penyuluhan Kesehatan menunjukkan adanya pengaruh yang signifikan, nilai P Value adalah 0,000 yang menunjukan 61 siswa (100%) responden mengalami peningkatan pengetahuan tentang penyakit menular seksual yang berarti (P value= 0,000 atau P<0,05). Kesimpulan, bahwa Penyuluhan kesehatan memberikan pengaruh yang signifikan pada pengetahuan remaja tetang penyakit menular seksual di SMPN 5 Bangkala Kabupaten Jeneponto Tentang Penyakit Menular Seksual.

Menstrual pain caused by the release of excess prostaglandin causes the increasing contraction of the uterus, a common gynecology disorder in young women that can interfere with learning and social activity. Based on a preliminary study in the village of the gadung young women take pharmacological medicines and warm compresses to hold or reduce menstrual pain. The study to learn the aromatherapy of cinnamon on primary menstrual pain in young women in the village of gadung tangerang. This method of research USES quantitative with research design quasi nity, one group pre-existing and post-existing. The study conducted according to the inclusion and exclusion criteria amounts to 38 respondents and instrument of the observation sheet. That was done with Shapiro wilk and a statistic wilcoxon signed rank. Studies show 7 days of cinnamon aromatherapy intervention, a scale of pain reduced from 1.79 to 1. Wilcoxon signed rank test results of a significant influence between the scale of pain before and after an intervention on cinnamon aroma recipients in the village of gadung sand. Aroma of cinnamon therapy may be an alternative to reduce menstrual pain.

This study aims to determine the level of effectiveness and efficiency of Village Fund management in Maregam Village during the Covid-19 Pandemic. This type of research is descriptive quantitative. The data collection technique used in this research is to copy the village budget realization report file. The research method used is descriptive quantitative method using a secondary data analysis approach with nonparametric test equipment using the Wilcoxon Test. The results showed that the level of effectiveness of village financial management based on an average effectiveness ratio of 98.33% was included in the "Effective". Meanwhile, the efficiency level based on the average efficiency ratio is 88.19%, which is included in the "Enough Efficient" category.